| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
829 |
815 |
$30K |
| V2020 |
Frames, purchases |
908 |
883 |
$15K |
| 92015 |
Determination of refractive state |
1,598 |
1,557 |
$9K |
| S0504 |
Single vision prescription lens (safety, athletic, or sunglass), per lens |
321 |
312 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
70 |
70 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
110 |
101 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
121 |
114 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
38 |
38 |
$920.56 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$452.40 |